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James Goodman

The physical reality of mental illness | The Incidental Economist - 0 views

  • So mental illness isn’t just about happiness: Mental illness kills. Sometimes by suicide, of which mental illness is a principal cause. But most of the excess deaths among the mentally ill are caused by diseases such as cardiovascular disease or cancer.  In a sense, mental illness amplifies the risk or lethality of physical health problems. This occurs for many reasons.  Mentally ill people are more likely to develop tobacco, alcohol, and substance abuse addictions. Mentally ill people also experience high levels of stress from the loss of jobs, marriages, and families. Chronic diseases such as diabetes require intensive daily self-care routines and mental illness undermines a patient’s ability to carry these out.
James Goodman

The "Family Members, Friends, Neighbors" approach to Mental Illness: Analysis... - 0 views

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    " for all that the conference was supposed to be about mental illnesses, it turned out to focus far more on *sane* family members and friends of the mentally ill, rather than on people with mental illnesses themselves. This tendency was  exemplified in the President's speech, when he stated:  "We all know somebody - a family member, a friend, a neighbor - who has struggled or will struggle with mental health issues at some point in their lives." Note the construction of the sentence: "We all know somebody - a family member, a friend, a neighbor - who has struggled with mental illness." The person with mental illness here is always someone else. They are always removed from ourselves. They are the people we help, the people we are sad for, the people we want to save. The people who are sick, the people who are hurting, the people with the problems - they are categorically not us. They are other. They are, moreover, specifically not the implied audience of the sentence. The implied audience is the people who "know somebody' with a mental illness. Obama probably wanted to evoke sympathy for people with mental illnesses. But in doing so, he reinforced the trope of the mentally ill as the "other" - as people who aren't worth speaking to, and about, directly. Despite the fact that one in five Americans suffer, or will suffer, from a mental illness, and thus make up a fairly sizeable portion of the audience."
James Goodman

The "Mental Illness" Paradigm: An "Illness" That is out of Control - Mad In America - 0 views

  • The “mental illness” paradigm—an insidious cancer:  I find it interesting to turn the “medical model” language of “mental illness” back onto itself and consider this entire “mental illness” paradigm as acting like an insidious cancer (the difference in my use of the term “cancer” here being that I’m readily acknowledging that this is just a metaphor). Cancer is essentially what occurs when a cell of an organism “forgets” its role as a member of a larger whole and turns against the organism, becoming consumed only with its own reproduction. Using this metaphor, we can say the “mental illness” paradigm fosters this turning one part of a whole against itself. We see this taking place interpersonally between members of our society as we develop ever increasing fear of those labelled “mentally ill,” and we see this taking place intrapersonally as we develop ever increasing fear and suspicion of our own “unusual” or “extreme” subjective experiences. We see signs of this cancer spreading throughout nearly every branch of contemporary Western society—our schools and education systems, our media, our government policies, our way of trying to make sense of ourselves and others’ experiences and behavior, and of course our health care systems. We also notice that this type of cancer thrives particularly well on a diet of greed, fear and ignorance—greed (enormous financial incentive to many in the pharmaceutical and mental health industries), fear (especially our fear of uncertainty, preferring an understanding that is clear although flawed to having to make some peace with mystery and the unknown), and ignorance (just think of the daily bombardment by massive amounts of misinformation coming at us from almost every angle).
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    "The "mental illness" paradigm-an insidious cancer: I find it interesting to turn the "medical model" language of "mental illness" back onto itself and consider this entire "mental illness" paradigm as acting like an insidious cancer (the difference in my use of the term "cancer" here being that I'm readily acknowledging that this is just a metaphor). Cancer is essentially what occurs when a cell of an organism "forgets" its role as a member of a larger whole and turns against the organism, becoming consumed only with its own reproduction. Using this metaphor, we can say the "mental illness" paradigm fosters this turning one part of a whole against itself. We see this taking place interpersonally between members of our society as we develop ever increasing fear of those labelled "mentally ill," and we see this taking place intrapersonally as we develop ever increasing fear and suspicion of our own "unusual" or "extreme" subjective experiences. We see signs of this cancer spreading throughout nearly every branch of contemporary Western society-our schools and education systems, our media, our government policies, our way of trying to make sense of ourselves and others' experiences and behavior, and of course our health care systems."
James Goodman

Do Psychiatrists Create the Very Mental Problems They Claim to Treat? | Alternet - 0 views

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    "It's easy to blame Big Pharma and the DSM for creating trendy mental illnesses, but the real problem is psychiatry's blindness to culture."
James Goodman

The Nothing Cure | Whole Living - 0 views

  • Another way to enhance the body's response to cold-fighting remedies is to ensure that you feel loved: Social support reduces vulnerability to all types of illness, including colds and flu, by cutting stress. In fact, when exposed to a virus, parents are about half as likely to develop a cold as exposed non-parents. And the bigger a parent's brood, the stronger her resistance, a Psychosomatic Medicine report showed. (Scientists think that social support, not just increased immunity thanks to constant exposure, is behind the effect.) Even if you do succumb, feeling understood and cared for, either by your doctor or by family and friends, can reduce the severity of your symptoms. A study by Barrett and his colleagues found that people who felt that their physicians were more empathetic had slightly shorter, milder colds as well as greater immune responses.
  • "The kind of remedies and comfort measures your grandmother used -- in my family, it was honey and lemon juice in warm water -- has a big impact on cold symptoms," says Josephine Briggs, M.D., director of the National Center for Complementary and Alternative Medicine, in Bethesda, Maryland. Since these reassuring associations are built during childhood and are probably at least partly subconscious, it doesn't matter whether Mom or Grandma is actually there to administer the remedy. "Pills might help," she says, "but mind-body approaches are a critical tool in symptom management."
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    "Another way to enhance the body's response to cold-fighting remedies is to ensure that you feel loved: Social support reduces vulnerability to all types of illness, including colds and flu, by cutting stress. In fact, when exposed to a virus, parents are about half as likely to develop a cold as exposed non-parents. And the bigger a parent's brood, the stronger her resistance, a Psychosomatic Medicine report showed. (Scientists think that social support, not just increased immunity thanks to constant exposure, is behind the effect.) Even if you do succumb, feeling understood and cared for, either by your doctor or by family and friends, can reduce the severity of your symptoms. A study by Barrett and his colleagues found that people who felt that their physicians were more empathetic had slightly shorter, milder colds as well as greater immune responses. "The kind of remedies and comfort measures your grandmother used -- in my family, it was honey and lemon juice in warm water -- has a big impact on cold symptoms," says Josephine Briggs, M.D., director of the National Center for Complementary and Alternative Medicine, in Bethesda, Maryland. Since these reassuring associations are built during childhood and are probably at least partly subconscious, it doesn't matter whether Mom or Grandma is actually there to administer the remedy. "Pills might help," she says, "but mind-body approaches are a critical tool in symptom management.""
James Goodman

Is Loneliness a Public Policy Problem? - Zach McDade - The Atlantic Cities - 0 views

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    Is Loneliness a Public Policy Problem? Zach McDade May 23, 2013 9 Comments Is Loneliness a Public Policy Problem? Shutterstock inShare3 Share Print Share on emailEmail Urban Institute MORE FROM THE URBAN INSTITUTE: The "Disconnected Youth" Paradigm Stemming the Tide of Federal Prison Growth The Continued Decline of North Korea Is a Case for Inclusive Politics A fascinating recent article in The New Republic reviewed a body of new science documenting the pernicious physiological effects of loneliness. Researchers have shown that loneliness-more formally, the want of intimacy-exacerbates a host of ailments, including Alzheimer's disease, obesity, diabetes, high blood pressure, heart disease, neurodegenerative diseases, and even cancer. The share of Americans who report "not feeling close to people" at any given time is 30 percent and growing, and deemed by some a social health crisis. Should public policy researchers and practitioners care about something as intangible and inaccessible as loneliness? I'll give you three reasons why I think we should. First, some background… Feeling lonely actually sends misleading hormonal signals that physically change the molecular structure of the brain. According to the article, this "wrenches a whole slew" of bodily systems out of whack, causing loneliness to be seen by some as a risk factor for death as great as smoking. Who tends to be affected by loneliness, according to this research? Women more than men, blacks more than whites, the less-educated, the unemployed, the retired, anyone different. In other words, many of the same people affected by today's long-term unemployment and wealth disparities, persistent poverty, and isolation. If loneliness exacerbates these ills, it will further diminish people's ability to engage in economically and socially valuable and productive activities, which in turn could exacerbate loneliness. Three reasons why loneliness should be a p
James Goodman

Burning Question: Why Sit Up Straight? - WSJ.com - 0 views

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    "Sitting to Death? His clinic sees patients with multiple chronic illnesses. Nearly all of them sit for long periods each day. The term Sedentary Death Syndrome was coined by the President's Council on Physical Fitness and Sports in 2002 to address the growing consequences of a seated lifestyle. "There are studies on Sedentary Death Syndrome that show that sitting for hours can cause anything from lower back pain to high cholesterol, diabetes and obesity," he says. In other words, no matter what position you're sitting in all day, it is pretty bad for you."
James Goodman

Where is the Self in Treatment of Mental Disorders? | World of Psychology - 0 views

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    "Mental health professionals across all professions - psychiatry, psychology, social work, etc. - should be more aware that this loss of self identity is a very real component of some people's mental illness and subsequent treatment. It should be addressed as a regular component of mental health treatment, especially when the loss is acutely felt. Because across all of healthcare, we are quick to dehumanize patients and focus only on the treatment of symptoms. Maybe it's a way some professionals seek to keep their patients at arm's length - not to become too emotionally connected to them. But in doing so, it also sends a (perhaps unintentional) message to the patient - you are only a constellation of symptoms to me. That's all we'll focus on, that's all we'll treat. As professionals and clinicians, we can do better. We should do better to not turn someone in emotional pain into a simple diagnosis or label. If we think of Linda as simply "Oh, the bipolar woman in room 213," we've lost our humanity and our focus."
James Goodman

Dr. Peter Breggin: New Research: Antidepressants Can Cause Long-Term Depression - 0 views

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    "Shortly after Prozac became the best-selling drug in the world in the early 1990s, I proposed that there was little or no evidence for efficacy, but considerable evidence that the drug would worsen depression and cause severe behavioral abnormalities. I attributed much of the problem to "compensatory changes" in neurotransmitters as the brain resists the drug effect. Since then, in a series of books and articles, I've documented antidepressant-induced clinical worsening and some of its underlying physical causes. Now the idea has gained ground in the broader research community and has recently been named "tardive dysphoria.""
James Goodman

Quick Relief from Emotional Suffering? This One Simple Thing Could Help | World of Psyc... - 0 views

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    "Evidence suggests that emotional distress - and all major psychiatric disorders - are associated with a state of excessive inward attention. And inward attention that is excessive in its intensity or duration could easily become pathological or troublesome."
James Goodman

Charles Shaw: Chasing Amy: Prohibition & the Infantilization Of Addiction - 0 views

  • huff.use('threeup', function(t){ t.init({ frame: '#threeup_top_wrapper', content: '#threeup_content', node: '.threeup_entries', left: '#threeup_left_nav', right: '#threeup_right_nav', vertical: 'Culture', entry: '912044', version: '2' }); }) Charles Shaw Author, 'Exile Nation' GET UPDATES FROM Charles Shaw Like 5 Chasing Amy: Prohibition & the Infantilization Of Addiction Posted: 7/31/11 02:00 PM ET React HPFacebookVoteV2.init(912044, 'Chasing Amy: Prohibition & the Infantilization Of Addiction', 'I did not know Amy Winehouse. I never met her, never heard any of her music, and was not a \\\"fan.\\\" None of that seemed to matter when forming an opinion of her. What I did know about her was what I felt I was permitted to know, that she was a prodigious musical talent who, not surprisingly, had an even more prodigious penchant for substances, and her life was a 24-hour train wreck that was parsed out neatly in...', 'http://www.huffingtonpost.com/charles-shaw/chasing-amy-prohibition-t_b_912044.html', 'http:///images/icons/huffpostbigicon.jpg', 'Please join me at <a href="http://www.huffingtonpost.com/">Huffington Post</a>!', 'blog', ["Amazing","Inspiring","Funny","Scary","Hot","Crazy","Important","Weird"]); Amazing Inspiring Funny Scary Hot Crazy Important Weird Read more Amy Winehouse , Addiction , Prohibition , Culture News #news_entries #ad_sharebox_260x60 img {padding:0px;margin:0px} if(typeof ad_overrides == 'undefined' || ad_overrides.spots && jQuery.inArray('sharebox_260x60',ad_overrides.spots) > -1) { htmlAdWH("93315635", "260", "60","f"); var debugadcode = ''; document.write(debugadcode); } if(typeof social_campaign != 'undefined' && jQuery('.print-link')[0].href.indexOf(social_campaign) == -1 ) { var _print_href = jQuery('.print-link')[0].href; jQuery('.print-link').attr( 'href' , _print_href + '&comm_ref=' + social_campaign ) } share this story http://www.facebook.com/plugins/like.php?action=like&api_key=4d965afccc4d86c598dbf5d94fb34a7c&amp
  • This attitude, and paradigm, has got to change if we are ever to get to a saner, more compassionate (and yes, potentially profitable) Post-Prohibition society. The first step, as Amy's friend, the British actor Russell Brand, wrote in the Guardian, is to end the criminalization of use: We need to review the way society treats addicts, not as criminals but as sick people in need of care. We need to look at the way our government funds rehabilitation. It is cheaper to rehabilitate an addict than to send them to prison, so criminalisation doesn't even make economic sense. Not all of us know someone with the incredible talent that Amy had but we all know drunks and junkies and they all need help and the help is out there. All they have to do is pick up the phone and make the call. Or not. Either way, there will be a phone call. Addiction is not "a crime or a romantic affection," Brand concludes, "but a disease that will kill." Let's speak frankly here. Prohibition is as guilty for the death of Amy Winehouse as her addiction. Because when Amy used drugs she wasn't just indulging, she was breaking the law. There's a huge social stigma behind breaking the law, and it usually means unwanted attention, fear, hiding and lying. In The Exile Nation Project: An Oral History of the War on Drugs, Dr. Julie Holland, a psychatrist and emergency physician, explains that the hiding and lying of illegal and prohibited drug use leads to a pervasive feeling of shame, and that shame creates more of the intensely negative feelings and emotional states that lead to self-medication as a means of escape. This cycle is then reinfoirced over and over until it becomes hard-wired. "The way our drug policy is set up," she concludes, "it's turning us into addicts." Now imagine the pressure borne down upon a celebrity of Amy Winehouse's stature, struggling with a very public addiction. How can anyone in her position find the peace and solace, or simply the space, necessary to heal? Addiction takes years to overcome, you can't just stuff someone in rehab for 30 days, and then send them back out on tour, and expect them to be cured. Perhaps we still shove addicts into our collective shadow because we're afraid of addiction and we're afraid of losing control, and as a means of reinforcing control in ourselves, we project this fear onto those who we perceive as having lost control, and thus, are in violation of the social contract and deserving of punishment. We warehouse them so we don't have to look at them, and thus, don't have to look at ourselves.
  • We can stop this from happening. When those who are suffering are finally viewed with the compassion they deserve, rather than with the derision they receive. And when there is no longer any profit to be gained from their immiseration, then we will have taken that final necessary step to break the nefarious back of Prohibition, and move us slowly along into a saner, more rational world, one that would have helped Amy Winehouse and millions like her, instead of recklessly chasing her into her own grave.
James Goodman

Ahem! Are You Talking to Me? (Or Texting?) - NYTimes.com - 0 views

  • YOU are at a party and the person in front of you is not really listening to you. Yes, she is murmuring occasional assent to your remarks, or nodding at appropriate junctures, but for the most part she is looking beyond you, scanning in search of something or someone more compelling.
  • Here’s the funny part: If she is looking over your shoulder at a room full of potentially more interesting people, she is ill-mannered. If, however, she is not looking over your shoulder, but into a smartphone in her hand, she is not only well within modern social norms, but is also a wired, well-put-together person. Add one more achievement to the digital revolution: It has made it fashionable to be rude.
James Goodman

Who You Are - NYTimes.com - 0 views

  • Before Kahneman and Tversky, people who thought about social problems and human behavior tended to assume that we are mostly rational agents. They assumed that people have control over the most important parts of their own thinking. They assumed that people are basically sensible utility-maximizers and that when they depart from reason it’s because some passion like fear or love has distorted their judgment. Kahneman and Tversky conducted experiments. They proved that actual human behavior often deviates from the old models and that the flaws are not just in the passions but in the machinery of cognition. They demonstrated that people rely on unconscious biases and rules of thumb to navigate the world, for good and ill. Many of these biases have become famous: priming, framing, loss-aversion.
  • We are dual process thinkers. We have two interrelated systems running in our heads. One is slow, deliberate and arduous (our conscious reasoning). The other is fast, associative, automatic and supple (our unconscious pattern recognition). There is now a complex debate over the relative strengths and weaknesses of these two systems. In popular terms, think of it as the debate between “Moneyball” (look at the data) and “Blink” (go with your intuition). We are not blank slates. All humans seem to share similar sets of biases. There is such a thing as universal human nature. The trick is to understand the universals and how tightly or loosely they tie us down. We are players in a game we don’t understand. Most of our own thinking is below awareness. Fifty years ago, people may have assumed we are captains of our own ships, but, in fact, our behavior is often aroused by context in ways we can’t see. Our biases frequently cause us to want the wrong things. Our perceptions and memories are slippery, especially about our own mental states. Our free will is bounded. We have much less control over ourselves than we thought.
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